Nottingham Extended Activities of Daily Living (NEADL) Scale

The Nottingham Extended ADL Scale asks about the tasks that come after basic self-care — the ones that determine whether someone can actually run their own household. Not washing and dressing, but getting out of the house, cooking a meal, doing the laundry, and having a life.

Twenty-two questions sit in four sections: mobility, kitchen, domestic, and leisure. It asks what the person has actually been doing recently rather than what they believe they could do. Two scoring conventions exist: a four-point version scored 0 to 3 per item for a total out of 66, and a simpler dichotomous version giving 1 for doing something alone and 0 otherwise, for a total out of 22.

Licensing Notes: The University of Nottingham posts the scale and guidance notes free among its published assessments terms with the university before commercial reproduction.

Learn More: A short form (SF-NEADL) with five mobility and kitchen items was published in 2026 and reportedly captures functional independence as robustly as the full scale.